Active NPI
Jada Therapy PLLC
- Addiction Medicine (Preventive Medicine) Physician
- Flagstaff, AZ
National Provider Identifier
1124772975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- JADA THERAPY PLLC
- Doing business as
- A New Direction
- Practice address
- 2724 E Lakin Dr Ste 7
Flagstaff, AZ 86004-3900 - Phone
- (928) 440-4786
- NPI assigned
- Feb 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Albaro J Rodriguez
- Title
- Program Director
- Phone
- (928) 440-4786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary |
Addresses
Primary practice location
2724 E Lakin Dr Ste 7
Flagstaff, AZ 86004-3900
Mailing address
2724 E Lakin Dr Ste 7
Flagstaff, AZ 86004-3900
Phone (928) 440-4786
Other names 1
- A New Direction
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | practicefusion.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644451200000",
"number": "1124772975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 E LAKIN DR STE 7",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043900",
"telephone_number": "928-440-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 E LAKIN DR STE 7",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043900",
"telephone_number": "928-440-4786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JADA THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "ALBARO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "928-440-4786",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "practicefusion.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2724 E Lakin Dr Ste 7",
"city": "Flagstaff",
"state": "AZ",
"country_code": "US",
"postal_code": "860043900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "A New Direction",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.